[Vaginal birth following a cesarean section in twin pregnancy]

On the basis of his own experience and investigation and a survey of published materials the author supports the view that the combination of a bigeminal pregnancy and a previous Caesarean operation should not in itself lead to an obligatory indication for a second Caesarean operation. The rigid criterion for a safe vaginal delivery applied in cases of unifetal pregnancy should be applied here, too. If there are no other contraindications the possibility of a vaginal delivery should not be excluded. Caesarean operation with all accompanying inconveniences, prolonged stay in the hospital and possible complications is not the best choice for a woman which is to look after two new-born babies.